Active NPI
Cardinal EMS LLC
- Land Ambulance
- Marietta, GA
National Provider Identifier
1104669191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- CARDINAL EMS LLC
- Practice address
- 3411 Austell Rd SW Ste 108
Marietta, GA 30008-5796 - Phone
- (404) 987-6326
- NPI assigned
- Jun 17, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Devon W. Barkley
- Title
- Owner
- Phone
- (404) 987-6326
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
3411 Austell Rd SW Ste 108
Marietta, GA 30008-5796
Mailing address
7243 Brittany Way
Douglasville, GA 30134-4075
Phone (404) 904-4617
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240822001268 | GA | Part B Supplier - Ambulance Service Supplier | 1850830886 | Practice locations: Austell, GA |
National Provider Directory
National Provider DirectoryLocations
3411 Austell Rd SW
Ste 108
Marietta, GA 30008
Phone (404) 987-6326
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Intermediate Emergency Medical Technician
- Austell, GA
- NPI 1861273427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745280000000",
"number": "1104669191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7243 BRITTANY WAY",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301344075",
"telephone_number": "404-904-4617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3411 AUSTELL RD SW STE 108",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300085796",
"telephone_number": "404-987-6326"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARDINAL EMS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-17",
"last_updated": "2025-04-22",
"certification_date": "2025-04-22",
"status": "A",
"authorized_official_last_name": "BARKLEY",
"authorized_official_first_name": "DEVON",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "404-987-6326"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.